Question

A 62-year-old man with known cirrhosis due to hepatitis C presents with increasing abdominal distension and dyspnoea. Examination shows shifting dullness and bilateral ankle oedema. Which medication is most appropriate as first-line for managing his ascites?

Accepted Answer

Spironolactone alone, titrated to effect

Answer

Frusemide alone

Answer

Mannitol

Answer

Thiazide diuretic alone

Answer

High-dose IV fluids

Practice question

A 62-year-old man with known cirrhosis due to hepatitis C presents with increasing abdominal distension and dyspnoea. Examination shows shifting dullness and bilateral ankle oedema. Which medication is most appropriate as first-line for managing his ascites?